VACCINE ADMINISTRATION,
LOCATION, AND TECHNIQUE
A GUIDE FOR STUDENTS
WHERE TO FIND VACCINE
INFORMATION
Centers for Disease Control and Prevention
[Link]
Immunization Action Coalition
[Link]
American Pharmacists Association
[Link]
NYS Board of Pharmacy
[Link]/prof/pharm/[Link]
Pharmacists Society of the State of New York
[Link]/[Link]?an=6
WHAT DOES A PHARMACIST NEED
TO DO TO BECOME AN IMMUNIZER?
Licensed and registered in NY
Provide evidence that an approved immunization
course has been taken in the past 3 years
Currently certified in CPR or BLS (must be a live
class not virtual), as well as OSHA (federal)
Complete registration form and pay $100.00
WHAT VACCINES CAN
PHARMACISTS ADMINISTER IN NY?
Influenza Vaccine
Pneumococcal Vaccine
Herpes Zoster Vaccine (as of 10/16/12)
Meningococcal Vaccine (as of 10/29/13)
ALWAYS REMEMBER
Wash you hands
thoroughly/use hand
sanitizer (wearing
gloves is optional)
Make sure you have
selected the correct
vaccine (and the lot is
not expired)
Always have a sharps
container near.
Always be alert and
know where the
uncovered needle is
pointing.
After injecting the
vaccine, activate the
syringes safety device
Dispose of sharps and
other used materials.
ALWAYS REMEMBER
Have the patient seated (preferably in a chair with
arms and no wheels). When standing is involved
there is always the risk of becoming light-headed
and falling.
Bleeding is a common occurrence. That is why we
have a cotton swab ready for the patient to hold
until a bandage is placed on the injection site.
Avoid entering skin that has scars, tattoos, or
moles.
Do not blow on the skin where you are injecting.
ADMINISTERING AN IM INJECTION
1)
2)
3)
4)
5)
6)
7)
8)
9)
Remove clothing to expose skin
Wipe the proposed injection site with an alcohol swab
Have patient relax and insert the needle at a 90 angle
Hub of the needle should touch skin
Inject vaccine solution and remove needle quickly
Activate syringes safety device
Dispose of syringe in sharps container. DO NOT RECAP
Hold a piece of cotton or gauze to injection site and tape
it to patient
Wash hands
ADMINISTERING A SC INJECTION
1)
2)
3)
4)
5)
6)
7)
8)
9)
10)
Remove clothing to expose skin.
Wipe the proposed injection site with an alcohol swab
Have the patient relax
Pinch a fold of skin and insert needle at a 45 angle
When the needle enters it should be bevel-up
Inject vaccine solution and remove needle quickly
Activate syringes safety device
Dispose of syringe in sharps container DO NOT RECAP
Wash hands
***Cotton ball not necessary. Less chance of bleeding***
REMEMBER
Only pharmacists may administer
immunizations in New York State. Pharmacy
interns may not vaccinate in NYS
WHAT IS CONSIDERED A TRUE
ALLERGY TO A VACCINE
1)
2)
3)
4)
5)
6)
Following vaccine
administration, a true
allergy usually begins
within minutes to about
an hour or so following
the injection. Some
common allergy
presentation signs are:
Itching
Redness of the skin
Hives
Itchy Skin
Difficulty breathing
Unusual swelling
Following vaccine
administration, the
following may occur but
are not considered a
true allergy:
1)
2)
3)
Fever
GI upset
Neurologic events (ie: seizure)
EPINEPHRINE
Used for the treatment of anaphylactic reactions
EPINEPHRINE
Must have multiple doses available at the site
where you immunize.
DO NOT VACCINATE unless you have
epinephrine at your site.
If the need arises to use epinephrine, doses can
be repeated if necessary.
EMERGENCY RESPONSE
1) Call 911
2) Administer epinephrine
3) Perform CPR/BCLS